Hybrid Dorsal Preservation Techniques

The term "Hybrid" has recently come to designate an specific intermediate entity between Preservation and Structural techniques, with the tip being done structural and the dorsum by preservation. This limits the indications to patients who present aesthetically pleasant dorsums, which can thus be fully preserved. In my "modified dorsal split" approach, the dorsum is split anatomically and reshaped appropriately. I preserve the Dorsal Keystone Area while the middle vault is reshaped and adjusted, followed by a cartilaginous push down or a full symmetric or asymmetric let down. Thus, patient indications are significantly expanded.